| NPI | 1881884534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD M. TITUS Owner 912-920-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: GA CHIRO007991) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2020-11-30 |